Workers Compensation Examiner | Jurisdictions: NJ & PA | Dedicated Client & Capped Caseloads
Sedgwick•Marlton, NJ
•$60,000 - $80,000
About The Position
The Workers Compensation Examiner analyzes workers’ compensation claims on behalf of clients to determine benefits due. The role ensures claims are continually adjudicated in accordance with service expectations, industry best practices, and client-specific requirements. The examiner investigates claims, develops action plans, negotiates settlements within designated authority, communicates with claimants and clients, and reports claims to excess carriers. The position covers New Jersey and Pennsylvania jurisdictions.
Requirements
- High school diploma or GED.
- At least 3 years of claims management experience, or an equivalent combination of education and experience.
- Knowledge of New Jersey and Pennsylvania jurisdictions.
Nice To Haves
- Bachelor’s degree from an accredited college or university.
- Professional certification applicable to the line of business.
Responsibilities
- Analyze and process claims through developed action plans to achieve appropriate and timely resolution.
- Investigate claims and gather information to determine claim exposure.
- Negotiate claim settlements within designated authority.
- Communicate claim activity and processing with claimants and clients.
- Report claims to excess carriers and respond to requests for direction professionally and promptly.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision coverage.
- 401(k) and matching.
- Paid time off.
- Disability and life insurance.
- Employee assistance program.
- Flexible spending or health savings account.
- Additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
